CANDIDATE S SPECIAL REPORT

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1 CANDIDATE S SPECIAL REPORT (to be filed by a candidate or his principal campaign committee) This form is filed during the 20 day period immediately preceding an election to report (1) all receipts from a single source in excess of $1,000 by major office candidates; in excess of $500 by district office candidates; or, in excess of $250 by any other office candidates, and/or (2) any payments exceeding $200 to any person who endorses candidates and who is required to file campaign finance disclosure reports. All candidates who have had any such transactions within the 20 days immediately preceding an election are required to report any such transaction on this form within 48 hours of the time the transaction occurred. Qualifying Name and Address of Candidate PO Box Office Sought (Include title of office as well as State Insurance Commissioner OFFICE USE ONLY : Date Filed: 9/23/ Name and address of principal campaign committee (Applicable only if candidate has a principal campaign Report Includes Schedules: Schedule A 4. Date of Election 9/30/2006 Primary X General (Check one) 5. a. Name of Person Preparing Repo JAMES S BURLAND b. Daytime Telephone WE HEREBY CERTIFY that the information contained in this report and the attached schedules is true and correct to the best of our knowledge, information and belief, and that no expenditures have been made nor contributions received that are required to be disclosed have not been reported herein, and that no information required to be reported by the Louisiana Campaign Finance Disclosure Act has been deliberately omitted. This 23rd day of September, Signature of Candidate/Chairperson (To be signed by Chairperson only if Jim Donelon Daytime Telephone Number Signature of Treasurer Daytime Telephone Number Form 103, Rev. 9/04, Page Rev. 6/08 Page 1 of 7

2 EARLE A. THOMPSON JR Tolmas Dr ALLIED SPECIALTY INSURANCE AGENCY OF LA Gulf Blvd Treasure Island, FL ALLIED SPECIALTY INSURANCE OF TEXAS INC Gulf Blvd. Treasure Island, FL ARCERI & ASSOCIATES INC Esplanade Avenue ROBERT BROOKS 601 St. Charles St ALAN BUERGER 91 Stenton Ave Plymouth Meeting, PA 09/12/2006 C. H. FENSTERMAKER & ASSOCIATES INC. 135 Regency Square Lafayette, LA Page 2 of 7

3 JOHN D. BECKER POB 8947 Mandeville, LA DONALD LAMBERT CONTRACTOR POB 1958 Kenner, LA ELMWOOD VENTURES INC. 532 Crystal St ROBERT G. HARVEY SR. 68 Rovier Rd Carriere, MA JEFFERSON G. PARKER 3200 SW Freeway Ste 1170 Houston, TX GAUDRY RANSON HIGGINS & GREMILION LLC POB 1910 Gretna, LA HARRIS DEVILLE & ASSOCIATES INC. 521 Laurel St Page 3 of 7

4 J. J. KELLY 2130 Cove Ct JERRY J. MARCELLO 312 Hale Dr Thibodaux, LA JOHN CARBO JR. LLP 4919 Canal St Ste 304 DAN JUMONVILLE POB $3, DANA KINDY Azrok $4, LAMARQUE FORD POB 1729 Kenner, LA LOUISIANA C-PAC Timberlake Ave PAC Page 4 of 7

5 METEROPOLITAN MANAGEMENT CORPORATION 2450 Severn Ave MOORE CONSTRUCTION INC Barringer Foreman Rd MULHEARN PROTECTIVE INSURANCE COMPANY POB 1411 Monroe, LA $2, CLYDE P. ROY Randi Ct Prairieville, LA $1, CONSTANCE PARKER 333 Walnut Ave PELLERIN LIFE INSURANCE COMPANY POB 130 Breaux Bridge, LA PHELPS DUNBAR LLP 365 Canal St Ste 2000 Page 5 of 7

6 REAL ESTATE MANAGEMENT CORPORATION 909 Poydras St Ste 1700 RODCO 110 Veterans Blvd. JOSE S. SUQUET 601 Poydras St SCHWING INSURANCE AGENCY POB New Iberia, LA 09/12/2006 $2, STEPHEN SKLAMBA 6428 Paris Ave SLIDELL PRODUCTION COMPANY INC. 2 Mission Hills Dr Slidell, LA SOUTHERN GENERAL AGENCY INC. POB Alexandria, LA Page 6 of 7

7 SOUTHERN UNDERWRITERS INSURANCE COMPANY POB Dallas, TX SUTTERFIELD & WEBB LLC 650 Poydras St CHARLES V. CUSIMANO 3909 Tolmas Dr SHARONNE W. BERNARD 200 H Dublin Circle Lafayette, LA WARREN PROPERTIES INC. POB Escondido, CA $3, JOSEPH Y. WHEALDON JR. 103 Hermitage Pl Mandeville, LA Page 7 of 7

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